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例1,男,62岁。间断胸闷、心慌、颜面浮肿1年。1993年4月10日以浮肿原因待查入院。查:T36.6℃,P60次/分,BP16/9kPa。神志清楚,皮肤无黄染,双眼睑及颜面浮肿,无甲状腺肿大,两肺底可闻细小水泡音,心界不大,心率60次/分,律齐,心尖部S_1低钝,无杂音。双下肢轻度指凹性浮肿,神经系无异常。血常规:白细胞6.7×10~9/L,中性0.65,淋巴0.35,血红蛋白105g/L;尿常规(—)。胸片示:两下肺纹理增粗;心胸比率>0.5。血脂轻度增高,空腹血糖正常。心电图示:窦缓,T_(Ⅱ、Ⅲ、aVF)低平。经以上检查考虑冠心病伴轻度心衰。随后给予病人扩冠等治疗,无好转。经住院观察追问病史,发现病人反应迟钝,说话无力。头颅CT正常。按冠心病、脑动脉硬化治疗,症状稍有好转出院。在两年多时间内三次入院治疗
Example 1, male, 62 years old. Intermittent chest tightness, palpitation, facial swelling 1 year. April 10, 1993 to etiology to be admitted to hospital. Check: T36.6 ℃, P60 times / min, BP16 / 9kPa. Consciousness, the skin without yellow dye, double eyelid and facial edema, no goiter, the bottom of the lungs can smell small blisters sound, heart, heart rate 60 beats / min, law Qi, apical S_1 low blunt, no noise . Double lower extremity refers to mild edema, nervous system no abnormalities. Blood: white blood cells 6.7 × 10 ~ 9 / L, neutral 0.65, lymph 0.35, hemoglobin 105g / L; urine (-). Chest radiograph: two thicker lungs; cardiothoracic ratio> 0.5. Slight increase in blood lipids, fasting blood glucose normal. ECG shows: sinus slow, T_ (Ⅱ, Ⅲ, aVF) low level. After the above examination to consider coronary heart disease with mild heart failure. Then give the patient crown and other treatment, no improvement. After hospitalized to observe the medical history, found that patients with unresponsive, speechless. Head CT is normal. According to coronary heart disease, cerebral arteriosclerosis treatment, the symptoms improved slightly discharged. In more than two years time three admission treatment